Acute respiratory conditions

Question 1

differences in children

Answer 1

Smaller airway
Reliance on diaphragmatic/abdominal breathing

Distance between structures shorter – easier infection

pliability of ribs and sternum
Larynx and Glottis – higher in neck
fewer number of alveoli
higher metabolic rate
Ribs, downward slope

Question 2

Normal RR for infants

Answer 2

30 to 40

Question 3

normal RR for middle childhood

Answer 3

20 to 24

Question 4

Normal RR for adolescence

Answer 4

16 to 18

Question 5

sx respiratory distress

Answer 5

Tachycardia
Tachypnea
Diaphoresis
Change in LOC
CO2 retention
Cyanosis – mouth

Question 6

where can a pulse ox monitor be placed on a child?

Answer 6

foot
Ear
Fore head
Finger

Question 7

interventions to ease respiratory efforts

Answer 7

positioning
Warm/cool mist
Bedrest

Question 8

What is the top intervention to ease respiratory efforts?

Answer 8

saline drops with bulbs suction

Question 9

T/F hot steam mist should be used

Answer 9

False

Question 10

what is the top intervention to improve oxygenation?

Answer 10

Suctioning

Question 11

what should be applied when using a nasal cannula for a child?

Answer 11

Apply hydration

Question 12

Nasopharyngitis

Answer 12

Common cold

Question 13

Causes of nasopharyngitis

Answer 13

rhinovirus
Adenovirus
Flu
paraFlu

Question 14

Should ibuprofen be given to infants less than six months old

Answer 14

No, greater than six months

Question 15

what value is considered a fever in infants?

Answer 15

100.4°

Question 16

T/F a low-grade fever is detrimental and should be treated immediately

Answer 16

False, can be beneficial to fight off infection

Question 17

T/F 2 year olds can receive over the counter medication’s

Answer 17

False, greater than three

Question 18

what medication should be avoided when treating the common cold in kids?

Answer 18

Antihistamines
Antibiotics
Expectorants

Question 19

tonsillitis

Answer 19

Commonly viral

Question 20

What is an abnormal symptom of strep/pharyngitis seen in kids

Answer 20

Abdominal pain

Question 21

what are the risks of strep, being untreated?

Answer 21

Acute rheumatic fever – 18 days
Acute glomerulonephritis – 10 days

Question 22

treatment for strep

Answer 22

Antibiotics for 10 days

Question 23

what should be taught for discharge with strep patients

Answer 23

New toothbrush – two days post antibiotics
Take all medication
Don’t drink after others
Gargle salt, water
Return to school 24 hours post antibiotics
Transmitted via saliva

Question 24

tonsillectomy

Answer 24

Only indicated for recurrent, frequent strep, peritonsillar, abscess, sleep apnea

Question 25

contraindications for tonsillectomy

Answer 25

Cleft palate Acute infection Uncontrolled systemic disease Blood dyscrasias Less than four years old

Question 26

What is the hallmark sign of internal bleeding from a tonsillectomy?

Answer 26

Excessive swallowing

Question 27

Nursing interventions post tonsillectomy

Answer 27

avoid straws, cough, laugh, cry, suctioning No red Popsicles or sherbet Listen to neck for stridor

Question 28

is drooling OK after a tonsillectomy

Answer 28

Yes, blood tinged is normal

Question 29

External otitis

Answer 29

swimmers. Ear. Inflammation/infection of outer ear – auricle or a canal Water is trapped by ear wax

Question 30

Otitis media

Answer 30

Middle ear infection acute inflammation, collection of fluid/pus

Question 31

what is the most prevalent disease of early childhood?

Answer 31

Ear infections

Question 32

risk factors of ear infections

Answer 32

eustachian tube more horizontal Non-breast-fed infants Exposure to smoke Bottles in bed unimmunized Pacifier use Family history Allergic rhinitis Winter time Craniofacial anomalies

Question 33

Who is more likely to get ear infections?

Answer 33

six months to 2 year olds Boys

Question 34

T/f most ear infections heal without treatment

Answer 34

True Antibiotics can be given Analgesics can be given

Question 35

what is the form of treatment for chronic ear infections

Answer 35

PE tubes

Question 36

Nursing Education with PE tubes

Answer 36

no diving, jumping, prolonged submersion No swimming in lakes or rivers Avoid pressure postop Wear earplugs in pool